Tip: Check VA financial enrollment, then evaluate billing. If you are treating patients under the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and not receiving reimbursement, ensure electronic funds transfer (EFT) is properly set up [...]
Shady physicians, a fugitive nurse, and more figure in home care fraud heat wave. It’s been a busy summer for fraud-fighting authorities tackling home care-related crimes and violations. Check out the criminals and schemes the HHS Office of Inspector General, Department [...]
Know these index cues to find the right manifestation code. An update to the Home Health Prospective Payment System (HH PPS) Grouper eliminated data validity flags on the etiology/manifestation pairs you list in M1020/M1022, but that doesn't mean there's been [...]
Know these index cues to find the right manifestation code. An update to the Home Health Prospective Payment System (HH PPS) Grouper eliminated data validity flags on etiology/manifestation pairs, but that doesn't mean there's been a change in the coding [...]
Question: Think you have V codes down pat? Try coding these scenarios from Shirley Kucirek, HCS-D with Acorn's End Training & Consulting in Rice Lake, Wis. to see whether you need to do some brushing up. How would you code [...]
Injury code hinges on your venomous, nonvenomous savvy -- and more.Think a tick is venomous? That error will land you with the wrong ICD-9 code(s).Tick season is approaching once again. Get the scoop you need to land all possible diagnoses [...]
Tip: Lyme disease series expands out to five codes under ICD-10.With Lyme disease coding being tricky to begin with, you're in for more excitement once the diagnosis coding system switches over to ICD-10.As outlined in our article, "Determine Whether Your [...]
Tally your score with the following three solutions.Determine whether you're ready for summer coding cases by checking your answers to our summer coding quiz on page 123 against these three solutions. You may also want to share this summer coding [...]
Hint: Your diagnosis coding will depend on which ear was affected once ICD-10 hits.CMS has repeatedly confirmed that it will not push back the deadlines for the conversion to ICD-10, so you'll need to have your ICD-10 coding skills ready [...]
Question: Our lab processes a blood specimen using a direct probe technique for a patient with suspected Lyme disease from a tick bite. How should we code the case? Georgia Subscriber Answer: Report the lab test as 87475 (Infectious agent [...]
